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Dr. Howard M. Karpoff, MD, FACS

(Howard Karpoff, MD)

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Specializes in: General Surgery and Surgical Oncology (Cancer Surgery)

New York University (NYU) School of Medicine

Professional interests include: breast cancer, breast pain, breast lump, and more.

95 Crystal Run Road
Middletown, NY 10941

(845) 703-6999

Dr. Howard M. Karpoff, MD, FACS is a general surgeon in Middletown, NY specializing in general surgery and surgical oncology (cancer surgery). He graduated from New York University (NYU) School of Medicine. Dr. Howard M. Karpoff, MD, FACS is affiliated with Crystal Run Healthcare, Garnet Health, Garnet Health Medical Center - Catskills (CRMC) and Garnet Health Medical Center (ORMC).

Office Locations

95 Crystal Run Road
Middletown, NY 10941

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Noteworthy Medicare Patient Procedures Performed by Dr. Howard M. Karpoff, MD, FACS in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

complete blood count

creatinine blood test

lymph node procedures

lymphoscintigraphy scan

tunneled central line placement

urinalysis

By Affordability:

blood count tests

blood tests

central line placement

complete blood count

lab tests

metabolic panel

tunneled central line placement

In 2023, among providers in related specialties within New York, Dr. Howard M. Karpoff, MD, FACS performed more complete blood count (CBC), creatinine blood test, lymph node procedures, lymphoscintigraphy scan (sentinel lymph node imaging), tunneled central line placement, and urinalysis procedures for Medicare patients than 95% of them and he also had a list price for blood count tests, blood tests, central line placement, complete blood count (CBC), lab tests, metabolic panel, and tunneled central line placement that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

breast surgery

excision

open biopsy

By Affordability:

excisional breast biopsy

excisional breast biopsy without margin

surgical breast biopsy

In 2023, among providers in related specialties within New York, Dr. Howard M. Karpoff, MD, FACS performed more breast surgery, excision, and open biopsy procedures for Medicare patients than 90% of them and he also had a list price for excisional breast biopsy, excisional breast biopsy without margin (surrounding tissue), and surgical breast biopsy that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

biopsy

blood draw

breast cancer surgery

inpatient hospital care

lab tests

open lymph node biopsy

partial mastectomy

phlebotomy for lab tests

By Affordability:

blood draw

blood draw for lab tests

breast biopsy

deep lymph node biopsy

lymph node biopsy

lymph node procedures

open lymph node biopsy

phlebotomy for lab tests

sentinel lymph node mapping

surgical lymph node biopsy

venipuncture

In 2012, among providers in related specialties within New York, Dr. Howard M. Karpoff, MD, FACS performed more biopsy, blood draw, breast cancer surgery, inpatient hospital care (for patient admitted to hospital), lab tests, open lymph node biopsy, partial mastectomy, and phlebotomy for lab tests procedures for Medicare patients than 75% of them and he also had a list price for blood draw, blood draw for lab tests, breast biopsy, deep lymph node biopsy, lymph node biopsy, lymph node procedures, open lymph node biopsy, phlebotomy for lab tests, sentinel lymph node mapping, surgical lymph node biopsy, and venipuncture (phlebotomy) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2012 were hospital care, inpatient care, lymph node procedures and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	17
breast procedures	47
cancer surgery	31
catheterization	32
diagnostic procedures	54
doctor visit	1216
excision	85
hospital care	129
inpatient care	129
lab tests	24
lymph node procedures	116
nuclear scan	39
open surgery	54

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2013 were lymph node procedures, inpatient care, hospital care and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	15
breast procedures	44
cancer surgery	33
catheterization	37
device removal	14
diagnostic procedures	47
doctor visit	1268
excision	80
hospital care	94
inpatient care	94
lymph node procedures	119
nuclear scan	41
open surgery	47
preventive care	16
vaccines	16

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	104
Female	662

**Ethnicity**
Non-Hispanic White	651
Black	48
Hispanic	42
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	374
From 75 to 84	208
85 and over	48
Less than 65	136

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2013

Hypertension	65
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	28
Depression	17
Chronic Kidney Disease	17
Asthma	12
Osteoperosis	11
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	18
Diabetes	30
Dementia	6
Cancer	44

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2014 were lymph node procedures, inpatient care, hospital care and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	16
breast procedures	47
cancer surgery	30
catheterization	73
device removal	18
diagnostic procedures	55
doctor visit	1404
emergency care	13
excision	85
hospital care	119
inpatient care	119
lymph node procedures	122
nuclear scan	42
open surgery	55
preventive care	25
vaccines	25

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	127
Female	752

**Ethnicity**
Non-Hispanic White	752
Black	55
Hispanic	46
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	441
From 75 to 84	228
85 and over	67
Less than 65	143

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2014

Hypertension	66
High Cholesterol	60
Stroke	3
Ischemic Heart Disease	27
Depression	17
Chronic Kidney Disease	16
Asthma	12
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	19
Diabetes	28
Dementia	5
Cancer	45

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2015 were inpatient care, hospital care, lymph node procedures and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	23
breast procedures	45
cancer surgery	45
catheterization	53
device removal	16
diagnostic procedures	39
doctor visit	1401
excision	84
hospital care	160
inpatient care	160
lymph node procedures	120
nuclear scan	40
open surgery	39
preventive care	22
vaccines	22

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	192
Female	1516

**Ethnicity**
Non-Hispanic White	1454
Black	118
Hispanic	86
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	856
From 75 to 84	426
85 and over	144
Less than 65	282

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2015

Hypertension	70
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	28
Depression	22
Chronic Kidney Disease	21
Asthma	18
Osteoperosis	12
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	17
Diabetes	29
Dementia	5
Cancer	47

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2016 were inpatient care, hospital care, lymph node procedures and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	45
breast procedures	72
cancer surgery	53
catheterization	65
device removal	18
diagnostic procedures	53
doctor visit	1651
excision	106
hospital care	114
inpatient care	114
lab tests	45
lymph node procedures	110
nuclear scan	37
open surgery	53
preventive care	90
vaccines	90

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	132
Female	854

**Ethnicity**
Non-Hispanic White	847
Black	62
Hispanic	50
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	505
From 75 to 84	255
85 and over	67
Less than 65	159

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2016

Hypertension	69
High Cholesterol	60
Stroke	3
Ischemic Heart Disease	26
Depression	19
Chronic Kidney Disease	23
Asthma	24
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	16
Diabetes	29
Dementia	7
Cancer	47

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2017 were lymph node procedures, excision, inpatient care and hospital care.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	43
breast procedures	69
cancer surgery	51
catheterization	70
device removal	16
diagnostic procedures	57
doctor visit	1793
excision	108
hospital care	105
inpatient care	105
lab tests	48
lymph node procedures	122
nuclear scan	41
open surgery	57
preventive care	32
vaccines	32

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	123
Female	924

**Ethnicity**
Non-Hispanic White	871
Black	77
Hispanic	63
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	549
From 75 to 84	277
85 and over	68
Less than 65	153

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2017

Hypertension	70
High Cholesterol	52
Stroke	3
Ischemic Heart Disease	26
Depression	21
Chronic Kidney Disease	26
Asthma	12
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	10
Chronic Obstructive Pulmonary Disease	19
Diabetes	29
Dementia	7
Cancer	49

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2018 were lymph node procedures, inpatient care, hospital care and excision.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	42
breast procedures	86
cancer surgery	65
catheterization	71
device removal	23
diagnostic procedures	77
doctor visit	1857
excision	142
hospital care	165
inpatient care	165
lab tests	92
lymph node procedures	176
nuclear scan	60
open surgery	77
preventive care	38
vaccines	38

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	99
Female	1007

**Ethnicity**
Non-Hispanic White	926
Black	71
Hispanic	68
Asian	0
Other	26
Native American	0

**Age**
From 65 to 74	587
From 75 to 84	298
85 and over	63
Less than 65	158

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2018

Hypertension	69
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	26
Depression	23
Chronic Kidney Disease	27
Asthma	13
Osteoperosis	14
Atrial Fibrilation	9
Heart Failure	10
Chronic Obstructive Pulmonary Disease	19
Diabetes	29
Dementia	6
Cancer	49

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2019 were inpatient care, hospital care, lymph node procedures and lab tests.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	55
breast procedures	51
cancer surgery	33
catheterization	49
device removal	21
diagnostic procedures	53
doctor visit	1802
excision	86
hospital care	140
inpatient care	140
lab tests	101
lymph node procedures	106
nuclear scan	35
open surgery	53
preventive care	85
vaccines	85

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	116
Female	971

**Ethnicity**
Non-Hispanic White	914
Black	66
Hispanic	66
Asian	13
Other	28
Native American	0

**Age**
From 65 to 74	573
From 75 to 84	305
85 and over	67
Less than 65	142

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2019

Hypertension	69
High Cholesterol	65
Stroke	3
Ischemic Heart Disease	29
Depression	21
Chronic Kidney Disease	27
Asthma	13
Osteoperosis	14
Atrial Fibrilation	8
Heart Failure	11
Chronic Obstructive Pulmonary Disease	16
Diabetes	29
Dementia	6
Cancer	50

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2020 were lymph node procedures, inpatient care, hospital care and lab tests.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	31
breast procedures	40
cancer surgery	27
catheterization	55
diagnostic procedures	39
doctor visit	1623
excision	66
hospital care	78
inpatient care	78
lab tests	76
lymph node procedures	87
nuclear scan	31
open surgery	39
preventive care	43
vaccines	43

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	85
Female	966

**Ethnicity**
Non-Hispanic White	865
Black	69
Hispanic	74
Asian	14
Other	29
Native American	0

**Age**
From 65 to 74	562
From 75 to 84	287
85 and over	65
Less than 65	137

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2020

Hypertension	69
High Cholesterol	63
Stroke	2
Ischemic Heart Disease	29
Depression	19
Chronic Kidney Disease	26
Asthma	13
Osteoperosis	13
Atrial Fibrilation	8
Heart Failure	11
Chronic Obstructive Pulmonary Disease	14
Diabetes	29
Dementia	6
Cancer	49

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2021 were lab tests, hospital care, inpatient care and lymph node procedures.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	56
breast procedures	48
cancer surgery	35
catheterization	59
diagnostic procedures	44
doctor visit	1808
excision	79
hospital care	120
inpatient care	120
lab tests	141
lymph node procedures	97
nuclear scan	33
open surgery	44

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	112
Female	1008

**Ethnicity**
Non-Hispanic White	920
Black	83
Hispanic	72
Asian	16
Other	29
Native American	0

**Age**
From 65 to 74	559
From 75 to 84	345
85 and over	79
Less than 65	137

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2021

Hypertension	70
High Cholesterol	70
Stroke	3
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	27
Asthma	13
Osteoperosis	15
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	15
Diabetes	29
Dementia	7
Cancer	48

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY during 2022 were lab tests, lymph node procedures, excision and breast procedures.

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

blood draw	50
breast procedures	54
cancer surgery	43
catheterization	46
device removal	21
diagnostic procedures	40
doctor visit	2000
excision	83
hospital care	46
inpatient care	46
lab tests	140
lymph node procedures	92
nuclear scan	30
open surgery	40

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	87
Female	1064

**Ethnicity**
Non-Hispanic White	934
Black	81
Hispanic	80
Asian	16
Other	40
Native American	0

**Age**
From 65 to 74	565
From 75 to 84	383
85 and over	72
Less than 65	131

Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS in 2022

Hypertension	72
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	24
Depression	18
Chronic Kidney Disease	14
Asthma	18
Osteoperosis	21
Atrial Fibrilation	12
Heart Failure	8
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	3
Cancer	52

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Howard M. Karpoff, MD, FACS for Medicare patients.

The highest averages for the top procedures that Dr. Howard M. Karpoff, MD, FACS treated as a general surgeon in Middletown, NY were inpatient care, lymph node procedures, hospital care and excision.

blood draw	35
breast procedures	54
cancer surgery	40
catheterization	55
device removal	18
diagnostic procedures	50
doctor visit	1620
emergency care	13
excision	91
hospital care	115
inpatient care	115
lab tests	83
lymph node procedures	115
nuclear scan	39
open surgery	50
preventive care	43
vaccines	43

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS.

**Gender**
Male	107
Female	884

**Ethnicity**
Black / African American	66
Asian / Pacific Islander	5
Non-Hispanic White	830
Native American / Alaskan Native	0
Hispanic	58
Other	13

**Age**
75 to 84	273
85 and over	67
Less than 65	143
65 to 74	506

Average of Total of Conditions of Medicare patients treated by Dr. Howard M. Karpoff, MD, FACS From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Howard M. Karpoff, MD, FACS treated were hypertension, high cholesterol, cancer and diabetes.

Hypertension	62
High Cholesterol	58
Stroke	3
Ischemic Heart Disease	24
Depression	17
Chronic Kidney Disease	20
Asthma	13
Osteoporosis	12
Heart Failure	10
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Atrial Fibrillation	8
Dementia	5
Cancer	43

Education & Training

Dr. Howard M. Karpoff, MD, FACS graduated from New York University (NYU) School of Medicine. He completed residency at NYU Langone Medical Center. He is certified by the Board Certification: General Surgery and has a state license in New York.

Medical School: New York University (NYU) School of Medicine

Residency: NYU Langone Medical Center

Board Certification: Board Certification: General Surgery

Licensed In: New York

Affiliations & Hospitals

Dr. Howard M. Karpoff, MD, FACS is associated with these hospitals and organizations:

Crystal Run Healthcare

Garnet Health

Garnet Health Medical Center - Catskills (CRMC)

Garnet Health Medical Center (ORMC)

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Howard M. Karpoff, MD, FACS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Focal Therapeutics, Inc.	$308 BioZorb $308
LEICA MICROSYSTEMS INC.	$190 $190
Dilon Technologies, Inc.	$156 HEMOBLAST Bellows $156
Pacira Pharmaceuticals Incorporated	$128 Exparel $128
Medtronic, Inc.	$40 $40
Other	$62 Valleylab FT10 $22	DERMACELL $17	NON-PRODUCT $14	$10

**Types of Payments**
Food and Beverage	$830
Consulting Fee	$40
Education	$14

Biography

Dr. Howard Karpoff's medical specialty is general surgery and surgical oncology (cancer surgery). His clinical interests include breast lump, breast pain, and breast surgery. His hospital/clinic affiliations include Crystal Run Healthcare and Garnet Health. Dr. Karpoff graduated from New York University (NYU) School of Medicine. His training includes a residency program at NYU Langone Medical Center. Yext reports that Dr. Karpoff is not accepting new patients.